Change Healthcare has made updates to the InterQual Criteria for 2018. Beginning August 20, 2018, the Clinical Services ? Utilization Management department at AmeriHealth will use the 2018 InterQual Criteria for review of acute inpatient, acute rehabilitation, skilled nursing facility, long-term acute care admission, home care, and selected procedures.
View a summary of the changes online for AmeriHealth New Jersey and AmeriHealth Pennsylvania.
To learn more about the InterQual Criteria, please visit the Change HealthCare website.